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Volume 4, Issue 3, Pages 140-141 (March 2019) Endoscopic submucosal dissection of a rectal nongranular laterally spreading tumor with the use of a new endoscopic platform Ferdinando D’Amico, MD, Roberta Maselli, MD, PhD, Piera Alessia Galtieri, MD, Marco Spadaccini, MD, Alessandro Repici, MD VideoGIE Volume 4, Issue 3, Pages 140-141 (March 2019) DOI: 10.1016/j.vgie.2018.12.011 Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Rectal nongranular laterally spreading tumor about 25 mm in diameter. VideoGIE 2019 4, 140-141DOI: (10.1016/j.vgie.2018.12.011) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Placement of the ORISE Tissue Retractor System. VideoGIE 2019 4, 140-141DOI: (10.1016/j.vgie.2018.12.011) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 Use of retractor grasper to lift the lesion, improving visualization of the dissection plane and facilitating en bloc removal. VideoGIE 2019 4, 140-141DOI: (10.1016/j.vgie.2018.12.011) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 En bloc resection. VideoGIE 2019 4, 140-141DOI: (10.1016/j.vgie.2018.12.011) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 5 Resected lesion, 30 × 20 mm in diameter. VideoGIE 2019 4, 140-141DOI: (10.1016/j.vgie.2018.12.011) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 6 Histologic view showing a tubulovillous adenoma, with high-grade dysplasia (H&E, orig. mag. ×40). VideoGIE 2019 4, 140-141DOI: (10.1016/j.vgie.2018.12.011) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions